Individual
DR. HISAM SAID GOUELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98109
(216) 844-3944
Mailing address
PO BOX 50095, SEATTLE, WA 98145
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60302051
WA
2084P0800X
Psychiatry Physician
Primary
MD60302051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639382906
—
OH
Enumeration date
05/07/2007
Last updated
12/07/2012
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